Organization
SED 8 INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN PERTL CRNA (AGENT)
(330) 493-8399
Entity
Organization
Contact information
Practice address
1017 FIELD ST NW, CANTON, OH 44709-1635
(330) 493-8399
(216) 674-5231
Mailing address
1017 FIELD ST NW, CANTON, OH 44709-1635
(330) 493-8399
(216) 928-0141
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
048040
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2284086
—
OH
01
—
272687622-00
BWC#
OH
Enumeration date
02/15/2007
Last updated
02/25/2010
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